Healthcare Provider Details

I. General information

NPI: 1497523435
Provider Name (Legal Business Name): LIVING LIFE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14629 SNOWDEN ST
DETROIT MI
48227
US

IV. Provider business mailing address

14629 SNOWDEN ST
DETROIT MI
48227
US

V. Phone/Fax

Practice location:
  • Phone: 313-340-9752
  • Fax: 313-731-1741
Mailing address:
  • Phone: 313-340-9752
  • Fax: 313-731-1741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CYRUS LOMONT WHEELER
Title or Position: SOLE MEMBER
Credential: LLPC
Phone: 313-340-9752